• Claims Quality Auditor

    UCLA Health (Los Angeles, CA)
    …be responsible for monthly random and focus audits of all claim processing activities to identify inaccurate claims adjudication. This will involve reviewing ... and/or equivalent experience * Five or more years of medical claims payment experience in Medicare Advantage...than 260 community clinics throughout Southern California. We're also home to the world-class medical research and… more
    UCLA Health (09/17/25)
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  • Commercial Casualty Claims Adjuster…

    GuideOne Insurance (Denver, CO)
    … Claims Adjuster, you will serve as a real partner to our members by processing claims accurately and efficiently so they can resume their life's work without ... and cause of loss on routine to more complicated claims , which includes but is not limited to policy...coverage and reservation of rights letters. + Maintains effective claim file documentation and diary system. Monitor diary to… more
    GuideOne Insurance (08/29/25)
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  • Remote - Claims Adjuster - Automotive

    Reynolds & Reynolds (Wichita, KS)
    …will include, but are not limited to:-\tAnswering inbound calls-\tProvide information about claim processing and explain the different levels of contract ... coverage and terms -\tAccurately establish, review and authorize claims -\tEntering claim and contract information into the...claim and contract information into the AGWS\u2019 systemA home office package will be provided for this position.… more
    Reynolds & Reynolds (10/04/25)
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  • Project Manager - Healthcare Claims…

    Integra Partners (Troy, MI)
    …is responsible for leading complex projects and initiatives related to claims adjudication, processing , compliance, and operational improvements. This role ... requires deep subject matter expertise in healthcare claims systems, workflows, and regulatory requirements. The PM will collaborate with cross-functional teams to… more
    Integra Partners (09/18/25)
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  • Claims and Insurance Paralegal

    Essentia Health (Duluth, MN)
    …Essentia's Office of General Counsel ("Legal Department"), Treasury and 3rd party claims administrator (for medical professional liability and general liability ... representatives, preparing and instituting legal holds, and managing the systematic tracking, processing and closing of all insurance claims involving Essentia.… more
    Essentia Health (09/16/25)
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  • Claims Compliance Coord I

    Aflac (Columbia, SC)
    …determine the regulatory impact to Aflac's policies and services related to claims processing ; assists with ongoing audits reviewing existing department ... Claims Compliance Coord I The Company: Aflac Columbus The...yourself, are you the duck? If so, there's a home , and a flourishing career for you at Aflac. Worker… more
    Aflac (10/04/25)
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  • Subject Matter Expert- Claims

    APTIM (Santa Fe, NM)
    … management software, databases, and other technology tools that facilitate claim processing , documentation, and communication. + Proficient in assessing ... Expert (SME) provides specialized technical expertise in support of claims review, evaluation, and documentation for disaster-related compensation. This...to live a full life at work and at home + Dogged determination to deliver for our clients… more
    APTIM (10/02/25)
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  • Claims Refund Specialist

    NTT DATA North America (Decatur, IL)
    …Ability Requirements:** + High School Education required. + Minimum 3 years experience of Claims Processing + Minimum 1 year experience processing claims ... the people who work here. NTT DATA seeks a ** Claims Refund Specialist** on a **project** basis to work...Specialist** on a **project** basis to work **remote, from home ** . This is a full-time, temporary role. **Must… more
    NTT DATA North America (10/03/25)
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  • Associate /Analyst - Claims Operations

    Alight (IN)
    …resulting in either approval, denial or extension of the leaves. + Managing and processing employee leave claims in compliance with federal, state, and company ... through effective solutions and personal service. **Responsibilities** + Handling claims related to FMLA, disability (STD/LTD), parental leave, personal leave,… more
    Alight (08/21/25)
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  • Nutrition Claims and Finance Consultant

    State of Colorado (Denver, CO)
    Nutrition Claims and Finance Consultant Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5083346) Apply  Nutrition Claims and Finance ... options that may include flexible working hours, working from home , working in the office, and/or a hybrid working...the office, and/or a hybrid working environment. + Premier medical , dental, vision, and dependent life insurance options. All… more
    State of Colorado (09/18/25)
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